This final report describes the activities and outcomes of a project designed to develop, implement, and evaluate a new three-year longitudinal competency based curriculum for pediatric residents on their role in early intervention and special education. The curriculum consisted of four half-days per month for every resident in an ambulatory…

A pilot project profiled and compared the influence of the major environments of supply and demand, education, practice location and incentives, licensure and regulation, and planning and analysis on the health workforce in and among 10 states (California, Connecticut, Florida, Illinois, Iowa, Texas, Utah, Washington, West Virginia, and…

The decision-making experience of residents in a primary care internal medicine training practice was often inadequate. The residents' evaluation of their educational experience with patients suggests that several elements of patient care affected their ability to learn. (Author/GDC)

Faculty and residents in a family medicine program rated the degree of importance for a resident to have mastered national performance objectives, regarding the diagnosis and treatment of hypertension. The results indicate that disagreement was widespread. Implications for the use of objectives developed outside a program are discussed.…

A graduate level course offered to foreign medical graduates (FMGs) at Wayne State University in Michigan was developed after a needs assessment indicated the desirability of improving the speaking fluency, pronunciation, and cultural understanding of FMGs. It was found that weaknesses in those areas, which are not assessed in the Test of English…

This paper describes physician and physician extender (i.e., a person who renders services under the supervision and responsibility of a physician) supply and distribution and provides projections of the supply. It addresses inequities of access to health care by examining the relationship to disparities in physician distribution by specialty and…

Residents in family practice sponsored by the State University of New York at Buffalo School of Medicine and Deaconess Hospital select a rotation to fulfill a community-university service requirement. The program was designed to involve residents in giving health care in Buffalo and western New York, where there is a physician shortage. (JMD)

Analysis of direct costs to teach a 10-week Introduction to Clinical Medicine course to 26 students in the spring of 1995 found that attending physicians worked a total of 736.5 hours, for a cost of $37,303; residents worked 314 hours, at a cost of $4,396; and miscellaneous costs totaled $2,019. The per-student cost was $1,681. (Author/MSE)

A multistation clinical examination using standardized patients was used over 4 years to assess the interpersonal skills of 346 fourth year medical students, 51 internal medicine residents, and 71 foreign medical graduates seeking admission to graduate study. Results indicate that a reliable assessment of interpersonal skills can be achieved this…

This document contains 162 papers and innovative sessions, two poster sessions presented at a conference on human resource development (HRD). A program overview, author index, and a keyword index are also included. The papers are grouped by the conference's 56 symposia, which were devoted to the following topics: HRD with International and…

Presented is the report made by the Financing Panel of the Graduate Medical Education National Advisory Committee (GMENAC) on the impact of financing issues on graduate medical education medical practice, especially those related to the geographical and specialty distribution of physicians. After an introduction to the study, the following are…

Case law concerning standards of care provided by health care practitioners in training is examined. Currently, medical students and residents are being held to the same standard of conduct as practicing professionals, and supervising faculty have a parallel duty to provide supervision to meet both that standard and legal requirements.…

The Wayne State University (Michigan) medical school program of videotaping resident interviews with patients and reviewing them with faculty is described and evaluated. Topics discussed include the program's structure and process, recurrent themes in the review sessions, residents' perspectives on the process, potential barriers to a successful…

Attitudes of 120 residents from three teaching hospitals about psychosocial aspects of patient care and the feasibility of teaching psychosocial skills to residents were compared to those of 86 practicing internists, 42 psychiatrists, 29 academic general internists, and 63 surgeons. The newly developed scale was seen as useful in evaluating…

Part 5 of a seven-volume report made by Graduate Medical Educational Advisory Committee (GMENAC) on the relationship between the education environment and specialty and subspecialty career choices is presented. After background information, Section 2 examines such conceptual and methodological issues as boundaries of the educational environment,…